Rare Case of Upper Arm Compartment Syndrome Following Biceps Tendon Rupture

Acute Compartment Syndrome of the Arm after Minor Trauma in a Patient with Optimal Range of Oral Anticoagulant Therapy: A Case Report

“…Richards reported a case of biceps long head rupture resulting in an upper arm compartment syndrome associated with nerve palsies in a patient who presented with INR value of 7.1 at hospital admission [16]. Another case of acute arm compartment syndrome was reported by Fung in a patient with biceps tendon rupture and an INR of 6.5 at time of clinical observation [17]. Only one compartment syndrome of the arm following minor trauma was previously reported in the literature in a patient assuming warfarin [18].…”

Upper Arm Compartment Syndrome: A Case Report and Review of the Literature

“…Two case reports have been published of an upper arm compartment syndrome following biceps tendon rupture and anticoagulants. One presents a 77‐year‐old man on warfarin who reported injuring his right shoulder while playing tennis. The diagnosis of biceps tendon rupture was made.…”

“…Only four patients with a solitary anterior compartment syndrome are reported in literature. Two of those after trauma (bicep tendon rupture) one after malpositioning of a blood pressure cuff and one with a pre‐existing condition (hemophilia) and having a venipuncture. In the biceps tendon rupture cases the diagnosis was made clinically and the anterior compartment was only released during an open procedure.…”

Acupuncture-Induced Intramuscular Hematoma in Patients Taking Anticoagulation Drugs: An Emerging Clinical Entity

“…However, data in Figure 1 panel B are important because a majority of acupoints are located in the extremities and abdominal wall, and these regions are prone to develop hematoma even without any forms of injury during oral anticoagulation. Moreover, these regions are predilection sites for compartment syndrome (1 case of rectus muscle hematoma induced fatal abdominal compartment syndrome, 19 1 case in the forearm, 20 2 cases in the upper arms, 21,22 and 1 case in the thigh 23 ). Therefore, we strongly suggest that when performing acupuncture in these regions in patients receiving anticoagulation, caution should be exercised and additional procedures to minimize hemorrhage are warranted.…”